
Your Custom Quiz
In Lemmon 2025 et al., on synovitis severity scoring, what was the most common synovitis severity score observed during arthroscopy?
🔍 Key Findings
Synovitis was present in 100% of canine stifles with CCL disease (n = 163).
The most frequent severity score was 3/5 (55.2%), followed by 4/5 (24.5%).
Higher synovitis scores were significantly associated with:
- Higher median cartilage scores (p = .042, OR = 2.1 per unit increase)
- Longer duration of clinical signs (p < .001, OR = 1.27 per month)
Bodyweight (p = .083) and sex (p = .17) were not statistically significant in multivariable analysis.
Bucket handle meniscal tears were not associated with synovitis severity.
Clinical implication: Earlier intervention may help reduce synovitis and slow OA progression.
Veterinary Surgery
3
2025
Arthroscopic synovitis severity scoring in canine stifles with cranial cruciate ligament disease
2025-3-VS-lemmon-1
In Moore 2023 et al., on Divisional outcomes in canine liver mass resection, which factors were associated with **fewer** postoperative complications in dogs undergoing liver mass resection?
🔍 Key Findings
- Liver masses were most common in the left division (58%), followed by central (27%) and right (15%).
- Right divisional masses were significantly associated with intraoperative complications (33% vs 5.6% left, p = .0037), particularly hemorrhage and injury to major vessels.
- Mortality rate was 6.5% overall, with no significant association with liver lobe location.
- Postoperative complications occurred in 28.7% of cases, but were not significantly associated with mass location.
- Thoracic incision extension (sternotomy or diaphragmotomy) increased odds of postoperative complications by 9.1x (p < .001).
- Use of TA stapler significantly reduced both intraoperative (OR 19x lower) and postoperative complications (OR 4.4x lower) vs other methods.
- Specialist surgeons and heavier dogs had significantly fewer postoperative complications.
- Right lobectomies often required thoracic extension, indirectly linking them to increased postoperative morbidity.
Veterinary Surgery
4
2023
Association between divisional location and short-term outcome of liver mass resection in 124 dogs
2023-4-VS-moore-5
In Schneider 2025 et al., on axillary LN extirpation, what percentage of removed axillary lymph nodes contained tumor-related pathology?
🔍 Key Findings
- Lateral approach to ALN extirpation was successful in 100% of cases (44 dogs, 48 ALNs) with consistent anatomical landmarks (costochondral junction of rib 1 and caudal scapular edge).
- Median time for ALN removal was 16.6 minutes, highlighting a fast and efficient dissection method.
- No intraoperative complications were recorded (e.g., hemorrhage or inability to find the lymph node).
- Postoperative complications occurred in 18% of cases, including seromas (n=2), wound dehiscence (n=4), lameness (n=1), and discomfort (n=1).
- Histopathology revealed 56% of ALNs had tumor-related pathology, including overt metastases, early metastasis (HN2), or premetastatic changes (HN1).
- Normal-sized ALNs (<2 cm) still harbored metastases in 22% of cases, emphasizing the unreliability of size as a staging criterion.
- False negatives in cytology occurred in 4 cases, underlining the limitations of cytologic evaluation for staging.
- The technique was reproducible without specialized tools, suggesting wide applicability in general and referral practice.
Veterinary Surgery
6
2025
Axillary lymph node removal for staging cancer; description of a lateral approach and application in 44 tumor-bearing dogs
2025-6-VS-schneider-2
In Downey 2023 et al., on thoracoscopic lobectomy, what was the long-term outcome for dogs that survived to discharge?
🔍 Key Findings
- Thoracoscopic (TL) or thoracoscopic-assisted (TAL) lobectomy was successfully performed in 12 dogs with non-neoplastic pulmonary consolidation (PC).
- 44% (4/9) of TL cases were converted to open thoracotomy due to adhesions or poor visualization—higher than rates for neoplastic lobectomies.
- OLV was successful in 7/9 TL dogs; unsuccessful attempts were managed with intermittent ventilation, mostly in brachycephalic breeds.
- Median hospital stay was 3 days; 91.7% (11/12) survived to discharge, and 100% of survivors showed no recurrence at median 24-month follow-up.
- Complications were mostly minor: pneumothorax (2), minor hemorrhage (3), dehiscence (1), and 1 fatality due to BOAS complications.
- Histopathology showed infectious pneumonia in 10 dogs, and in 4 cases, foreign body migration was suspected as the underlying cause.
- Median surgical time for TL was 90 minutes; conversion correlated with longer symptom duration (median 90 vs. 7 days).
- Postoperative recovery was excellent in all surviving dogs, with one case of persistent cough attributed to concurrent heart disease.
Veterinary Surgery
7
2023
Evaluation of long‐term outcome after lung lobectomy for canine non‐neoplastic pulmonary consolidation via thoracoscopic or thoracoscopic‐assisted surgery in 12 dogs
2023-7-VS-downey-5
In Cantatore 2022 et al., on transanal submucosal resection, what factor was most strongly associated with increased risk of tumor-related death?
🔍 Key Findings
- Submucosal resection via a transanal approach was associated with a low rate (1.1%) of major complications and prolonged survival across benign and malignant rectal tumors.
- Overall recurrence rate was 21.5%, with higher recurrence in malignant tumors: 28.6% (carcinomas) and 30.4% (carcinoma in situ) vs. 13.6% (adenomas).
- Complications (P = .032) and incomplete margins (P = .023) were independently associated with increased recurrence risk.
- Recurrence was the only factor associated with increased risk of tumor-related death (P = .046).
- Repeat submucosal resection was successful in 60% of dogs with recurrence, indicating feasibility of this as a salvage approach.
- 1-, 2-, and 5-year survival rates for carcinomas were 95%, 89%, and 73%, though overall survival was significantly longer for benign tumors (P = .001).
- Preoperative diagnostics (FNA, biopsy) were often inconsistent with final histopathology – only 64.3% biopsy agreement.
- Presurgical imaging was not consistently performed, limiting accurate staging in many dogs.
Veterinary Surgery
3
2022
Submucosal resection via a transanal approach for treatment of epithelial rectal tumors – a multicenter study
2022-3-VS-cantatore-1
In Katz 2022 et al., on meniscal flounce sign, what was the diagnostic accuracy of the sign for indicating an intact or torn meniscus during stifle arthroscopy?
🔍 Key Findings
- A positive meniscal flounce sign was associated with normal menisci in 95.5% of cases, demonstrating strong predictive value.
- Absence of the meniscal flounce sign was associated with meniscal tears in 92.7% of cases.
- Overall diagnostic accuracy of the flounce sign was 94.6%, with 96.6% sensitivity and 90.5% specificity.
- Most tears in flounce-negative stifles were bucket-handle tears (73.8%), while radial tears were present in some flounce-positive stifles.
- Radial tears did not consistently eliminate the flounce sign, suggesting they may not disrupt meniscal fiber tension sufficiently.
- All procedures were arthroscopically performed, with probing and visualization of the medial meniscus' caudal pole.
- Flounce sign should complement, not replace, probing—especially as some tear types (e.g., radial) may not abolish the sign.
- Limb positioning and joint distraction may affect flounce visibility, introducing minor observer variability.
Veterinary Surgery
2
2022
The significance of the meniscal flounce sign in canine stifle arthroscopy
2022-2-VS-katz-1
In Banks 2023 et al., on TECA-LBO in brachycephalic dogs, which diagnostic imaging findings were significantly more common in EBBs?
🔍 Key Findings
- Extreme brachycephalic breeds (EBBs) presented more acutely and at younger ages, most often with neurological signs compared to other breeds.
- Preoperative signs such as facial nerve paresis, vestibular syndrome, and Horner’s syndrome were significantly more common in EBBs.
- EBBs showed more severe imaging findings, including higher rates of otitis interna (46.3% vs. 8.5%) and brainstem changes (17.5% vs. 3%).
- Intraoperative complications were more frequent in EBBs (11.1% vs. 5.3%), but this difference did not reach statistical significance (p = .078).
- Perioperative complication rates did not differ significantly between EBBs and other breeds (23.5% vs. 29.3%).
- Surgical time was significantly longer in EBBs (median 115 vs. 95 minutes; p = .011).
- MRI or combined CT/MRI were more frequently used in EBBs, likely due to the higher prevalence of neurological signs.
- Despite anatomical challenges, complication rates in EBBs were comparable, supporting TECA-LBO safety in these breeds.
Veterinary Surgery
5
2023
Influence of extreme brachycephalic conformation on perioperative complications associated with total ear canal ablation and lateral bulla osteotomy in 242 dogs (2010–2020)
2023-5-VS-banks-4
In Cruciani 2025 et al., on portal placement, what was the primary reason for modifying the arthroscopic portal?
🔍 Key Findings
- Study Design: Retrospective case series of 15 dogs (19 tarsi) with talar OCD.
- Technique: Modified arthroscopic approach with both scope and instrument portals on the same side as the lesion.
- Outcomes:
- Good to excellent mid-to-long-term outcomes in 11/14 dogs.
- Statistically significant improvement in CBPI (p < .05) and VAS scores (p < .05).
- Minor postoperative complications (synovial cysts) in 4/13 tarsi, all resolved spontaneously.
- No major intraoperative complications; 1/19 required mini-arthrotomy due to fragment size.
- Degenerative Joint Disease (DJD): Progression noted in 10/14 cases, despite good functional outcomes.
- Fragment Characteristics: Multiple osteochondral fragments were present in most cases, with 17/19 lesions on the medial talar ridge.
- Technical Advantage: Lower conversion rate to arthrotomy (1/19) compared to previous studies (Gielen et al. and Miller & Beale).
Veterinary Surgery
1
2025
A modified approach to portal placement for arthroscopic management of osteochondritis dissecans lesions of the tarsocrural joint in 15 dogs (19 tarsi)
2025-1-VS-cruciani-3
In Tobias 2022 et al., on perineal hernia repair positioning, what was the recurrence rate in dogs with prior hernia repair on the same side?
🔍 Key Findings
- Perineal hernia repair was feasible in dorsal recumbency in all 23 dogs, allowing simultaneous perineal and abdominal procedures without repositioning.
- Internal obturator muscle transposition (IOMT) was successfully performed in 22 dogs, with tendon transection facilitating improved muscle elevation.
- Complication rate was 60.9% in-hospital and 47.8% post-discharge, mostly minor (e.g., swelling, drainage), with infection suspected in 4 dogs (17.4%).
- Recurrence rate was 19% overall, but significantly higher in dogs with prior hernia repairs (50% vs 5.9%; p = 0.053).
- Dogs without prior repairs or organ pexies had no recurrences (p = 0.035), suggesting primary repairs without preexisting interventions fare better.
- Castration and adjunctive abdominal procedures (e.g., colopexy, cystopexy) were often performed concurrently (18/23 dogs).
- Colopexy did not prevent recurrence, although it aided in surgical visualization during perineal repair.
- Dorsal positioning allowed simultaneous access to the abdomen and perineum, improving surgical efficiency without added complications.
Veterinary Surgery
5
2022
Perineal hernia repair in dorsal recumbency in 23 dogs: Description of technique, complications, and outcome
2022-5-VS-tobias-2
In Mihara 2024 et al., on mitral valve repair in dogs, what postoperative change supported improved forward flow?
🔍 Key Findings
- Mitral valve plasty (MVP) in dogs with MMVD significantly reduced regurgitant volume and fraction, and normalized LA:Ao ratio, indicating reversal of volume overload.
- MVP altered mitral valve geometry, with reduced annular dimensions and increased coaptation length, enhancing valve competence.
- Postoperative LA:Ao ratio dropped from 2.2 to 1.2, consistent with improved left atrial pressure and size.
- Forward stroke volume index and cardiac index increased at 3 months, reflecting improved hemodynamic function despite reduced fractional shortening.
- Three dogs (3.9%) died postoperatively, highlighting a 96.1% survival rate within 3 months.
- The repair technique involved artificial chordal replacement and annuloplasty; no cleft closure or leaflet suturing was used.
- Color Doppler echocardiography confirmed substantial reduction in mitral regurgitation postoperatively in most dogs.
Veterinary Surgery
3
2024
Effects of mitral valve repair on valvular geometry and hemodynamics in dogs with myxomatous mitral valve disease
2024-3-VS-mihara-5
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